Organization
DIALYSIS CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONOVAN SCHULTZ (PRESIDENT)
(615) 327-3061
Entity
Organization
Contact information
Practice address
150 WAR ADMIRAL STE 4, DANVILLE, KY 40422-8690
(859) 236-9995
(859) 236-9973
Mailing address
100 VENTURE CT, LEXINGTON, KY 40511-2600
(859) 252-7712
(859) 252-2117
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
05/17/2017
Last updated
10/04/2023
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